20060121.pdfPERMIT EXPIRES
L, RIC11110 'PERMIT I
CITY OF EDMONDS NUMBER ZL4_z
CONSTRUCTION PERMIT APPLICATION JOB E
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ADDRESS
12704 NE 124th ST # 43
FIRE REVIEWED BY DATE
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STATE LICENSE NUMBER
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REMARKS
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In addition to the required
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Description
FEE
Description
FEE
Plan Check
State Surcharge
VE.TED.ATE
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Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
Grading
aE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES , ETC�) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19BOAOS(A)(S)
Engr. Inspection
PERMIT UNIT: SEE ECDC 19.00.005(A)(6)
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
PP WANT, ON BEHALF OF HIS OR HER SPOUSC HEIRS, ASSIGNS AND SUCCESSORS
A L
Fire Review
Plan Chk. Deposit
N INTEREST, AGREES TO INDEMNIFY. SEE NO AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
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. ALL LAMIS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
BE
3 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF TH16 PERMIT $HALL NOT
UCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp,
Total Amt. Due
DEEMED TO MODIFYWAIVE OR RE
0 NOR LIMIT IN ANY WAY THE CITY'S ABIUT TO ENFORCE ANY ORDINANCE PROVISION
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Recording Fee
Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAI/
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
TIA,11�. � P.—I LnId s,Br.d t,, III.
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
L,.RB Off —I ., IIWr.r DrpLly: nd F Iv. p.4 .,K1
TION: AND IN DOING T E WORK AUTHORIZ D THEREBY. NO PERSON WILL BE EMPLOYED
OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION 1111.pt 11 111,11-d9rd—p... p,,,id,d
IN VIOLATION OF THEN LABOR CODE
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
BE
SIGNATURE (OWNER OR AGE )ATE SIGNED
(425)
b`�1_1_11,dq ./I /�-/
771-0220
-KT--TENTION
EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGIN L -FILE - YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110.
PINK -OWNER - GOLD � ASSESSOR
101" PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060121
PERMITTr,'AX
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04/2512006 MS 25 APPROVED
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Total Time: 25
Total Inspections:
1 Total Time: 25
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7/2/2009 1:09:36 PM
Page 1 of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ... ...................
Wall..........................
Pier/Porch .................
Retaining Wall ..........
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Slab Insulation
PLUMBING:
Underground .. ...........
74
Rough -In ...................
--i
A
Commercial Final
C
M
HEATING:
Gas Test ....................
C
-j C
X M
ITI z
Gas Piping .................
10 _5
a
Equipment .................
Commercial Final
EXTERIOR SHEATHING
n
NAILING ................
-4
FRAMING ........................
M T
0 Cl)
0
FIRST FLOOR FRAMING
0
C
INSULATION ...................
Q 0
Floor Insulation
z
-4
Wall Insulation ...........
-4
Ceiling Insulation
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SHEETROCK NAILING
3:
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................